Dartmouth College Health Service
This form is for requesting gender-affirming care supplies with no out-of-pocket costs to you. This is a combined effort of the Office of Pluralism and Leadership (OPAL), the health service at Dick's House, and the DHMC Pharmacy at Dick Hall's House.

Currently enrolled Dartmouth students attending classes in Hanover are eligible to select up to two items per term, free of charge. It is important to note that multi-pack offerings from retailers are not considered as a single item. We appreciate your understanding.

We are not a big online retailer, we know this is a little clunky but we are trying. If you do not wish to use this form, you can contact OPAL or Dick's House directly.

If you would like to help improve this service please drop us a line. 

If you have already placed an order and need to contact us click here. Please understand that a response may take up to 2 business days. 

Remember we will see none of your selections until you click SUBMIT at the very end of this form. 

Still deciding what you might want and need out of gender affirming products? Need help figuring out what option might be best for you? You have some resources! You can send a message/schedule an appointment with your provider (important health service info here) or undergraduates can schedule an appointment with Angélique Bouthot, staff in OPAL's LGBTQIA+ student advising, to discuss different types of gender affirming items.
Email *
Your Dartmouth Net ID *
You may select up to 2 items per term. Which type of item would you like to select first? *
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